Do your students receive insurance coverage for more than two weeks?
Call for more information

Do you have an insurance utilization person?
Full time staff member

Is the program on any insurance panels?
No

State and/or National
N/A

Academic Accreditation
N/A

Religious Affiliation?
No

Please specify the type of religious affiliation
N/A

Minimum Age of Participants
13

Maximum Age of Participants
17

Can program support 18-year-olds if they enroll before 18?
Call For More Information

Program can accept students with I-20 Visa?
N/A

Average Length of Stay (months)
3

Maximum Enrollment
10

Location of Program
Rural

Dorm/Housing
Triples
Quads

How does the program prevent students from leaving (running) from the program
Students are Always in “Line-of-Sight” with staff

Does the program have more than one location for this particular program?
No

Family Involvement
HIGH: Family Expected on weekly calls (or more) & to attend all family workshops (weekly , monthly or quarterly)

Percentage of Aid to Adoptive Family Students
N/A

Percentage of Court Ordered Students
0

Percentage of Private Pay Students
N/A

Percentage of School Funded Students
N/A

Percentage of State Funded Students
N/A

Is there individual therapy?
Yes

Number of individual therapy hours student receives on a difficult week?
2

Number of individual therapy hours student receives on typical week?
1

Percentage of licensed therapists?
All therapists are licensed by the state of operation

Therapist average case load
3

Percentage of full time therapists who have a private practice outside a program?
Not Applicable

Does the Clinical Director carry a case load?
No

Is there group therapy?
Yes

Average number of hours per week facilitated by licensed therapist
12

Average number of hours per week of group processing? (i.e. run by staff, interns, grad students, etc.)
20

Average number of formal family therapy hours per week (not social calls to teen)
2

Is Skype accessible for family therapy?
Yes

Are there Additional Professionals? (Select all that apply)
Medical Doctor
Neurofeedback Specialist
Nurse Practitioner
Psychologist
Registered Nurse
Other

Are there Medical rule outs
Yes

Possible Medical Rule Outs
Active Psychosis
Actively Suicidal
Fire Starter
Need for Detox?
No Definitive Guardianship
Pregnancy
Call For more information

Is there a minimum BMI
N/A

Can Program accept insulin-dependent diabetics
No

Psychiatrist
On staff

Percentage of students on meds at enrollment
N/A

If psychiatrist is available to students, what percentage of students change meds?
N/A

Types of Therapy Offered
12 Steps Groups
Acceptance and Commitment Therapy
Art Therapy(with certified art therapists)
Behavior Tech Trained staff & Therapists
Cognitive Behavioral Therapy (CBT)
Dialectical Behavioral Therapy (DBT)
Dialectical Behavior Therapy (DBT) Skills
Equine Assisted or Therapeutic Horse Back
Expressive Art Therapy
Eye Movement & Desensitization and Reprocessing
Family Focused Therapy (FFT)
Motivational Interviewing (MI)
Neuro Feedback
Psycho educational
Recreation Therapy

Does the program have a level/phase system?
No

If yes, are phases/levels tied to privileges?
No

Does program have a milieu-driven residential model? (Staff are trained in model)
Yes

If yes — select all that apply
Behavior Tech Trained Staff and Therapists
Client Centered/Person Centered Therapy
Cognitive Behavioral Therapy
Other

Integrated Wellness
Art
Breathing Techniques/Breath Work
Meditation
Yoga
Other

Does program use time out rooms?
No

Line staff to student ratio during awake hours
1:7

Does program run background checks on all staff?
Yes

Is there an educational requirement for staff?
Yes

If Yes, what is it?
N/A

Average number of hours staff are trained before their first shift
N/A

Are night staff awake or asleep
Awake

What percentage of the line staff are full time employees?
All

Grades Served
K-12

Average student to teacher ratio
N/A

Teaching/Classroom
Online school/Classes

Is the program able to implement IEP’s
Call for more information

Can Program handle a student who is more than two grade level’s behind in reading?
Call for more information

Academic Calendar
Year Round School (either quarters, trimester, semesters)

Can program support a student to complete a GED?
Yes

Can program support a student who wants vocational training?
Call for more information

Does the school have AP Classes or the ability to give or take a student to the AP Test?
Not Applicable

Does the academic program have the ability to provide ACT or SAT Tutoring (on or off site)?
N/A

Does program have transition services for students?
Yes

If Yes, select all options that apply to your program
Additional Therapist To Work With Student Or Family As Transition
Other

Are there additional fees that apply to transitional options?
Call for more information

Percentage of families that participate in various transition programming?
Call for more Information

Scheduled or rolling admissions?
Rolling admissions

Is there an enrollment fee/outfitting fee/payment in advance?
N/A

If applicable, is the last month’s fees due at enrollment?
N/A

Cost per month/workshop/programming (in USD)
N/A

Percentage of clients who return home, or to a more traditional setting (like transitions to college or gap year, boarding school, etc.)
N/A

Does a student have to sign themself into the program?
No

Link to Weekly or Daily Schedule
N/A

For licensed programs, but state or under 18, please select Incidents required to be reported to the state:
N/A

What is the typical amount of time a family should expect before hearing about an major incident?
N/A

What is the average number of clients you see per year?
N/A

Professional Associations/Affiliations
N/A

Payment Type
Call for more information

Has the program previously been part of an evidence-based study?
No

Is the program presently part of an evidence-based study?
No

Link to the study that the organization is part of
N/A

Type of Family Therapy/Work Offered
Family Handbook
Family process facilitated by another therapist
Family Workshops Available
Flexible length of call with therapist per week
Other

Family involvement
HIGH: Family Expected on weekly calls (or more) & to attend all family workshops (weekly , monthly or quarterly)

Who completes the psychological evaluation?
Other

Minimum length of stay
90

Does the student receive a neuropsychological evaluation?
N/A

Type Of Programming For Students
Clinically-driven programming (addresses individual life, living, social and academic needs)

Typical Student
ADHD/ADD
Clinically Complex (possible behavior, genetic, students “who are puzzles”)
Mood Deregulation &/or Anxiety
Post Traumatic Stress Disorder (PTSD)

Minimum IQ
80

Interview Requirements for Applicants
Call for More Information

Additional Therapy
N/A

Therapist Case Load at Peak Season
N/A

Percentage of licensed therapists?
N/A

Average number of days/week therapist is in the field
N/A

Number of Individual Sessions with Therapist
N/A

Integrated Wellness Support
N/A

Do clinical assistants work with lead therapists?
N/A

Percentage of full time therapists who have a private practice outside of wilderness?
N/A

Do any of the therapists operate more than one group at peak season?
N/A

What percentage of participants receive psychological evaluations?
N/A

Does program receive a fee for evaluation or referral?
N/A

Additional levels of care offered by facility
N/A

Types of eating disorder care provided
N/A

Specialized Programming
N/A

Is program focused on full recovery?
N/A

Housing
N/A

Community Service Requirement
N/A

Random Drug Testing
N/A

Transportation Options
N/A

Support Services
N/A

House/Community Meetings
N/A

Are participants required to do chores in the house/community?
N/A

12 Step Meetings on Location
N/A

Type of Students
N/A

Computer Access
Call for more information

Cell Phones
Other

Academic Options
N/A

School Name (if applicable)
N/A

School Website (if applicable)
N/A

Types of Workshops Offered
Call for more information

Accommodations
N/A

Use of Personal Vehicle
N/A

Use of Electronics
N/A

Location of Workshop
N/A

Average Length of Workshop
N/A

Professional Associations/Affiliations
N/A